Objective: This study intended to evaluate changes, clinically and radiographically, associated with the immediate placement of dental implants in the maxillary anterior esthetic zone, comparing vestibular socket therapy with the ice cream cone technique. Materials and Methods: The current research included sixteen individuals requiring the replacement of a non-restorable tooth in the maxillary anterior aesthetic zone with an implant. Patients were divided into two groups of equal numbers. In the first group, eight implants were immediately placed utilizing the ice cream cone technique, whereas in the second group, eight implants were immediately inserted using vestibular socket therapy into the maxillary alveolar ridge. Both groups had clinical examinations for implant stability and radiographic assessments for marginal bone loss over a six-month evaluation follow-up period. Results: The results showed insignificant differences in implant stability between the two different groups immediately post-implant insertion, at three months later, and at six months after placement. Yet, the intragroup analysis demonstrated significant discrepancies within each group. For marginal bone loss, no differences in significance were seen after three months of treatment and following 6 months of observation. Conclusions: Vestibular socket therapy and the ice cream cone technique are both viable conservative and aesthetic treatment procedures in the maxillary aesthetic zone, exhibiting similar results.
Shoeib et al. (Thu,) studied this question.